Loading...
Permit .71 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00493 T t GA R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2010 Parcel: 2S115AD05600 Jurisdiction: Tigard Site address: 10650 SW RIVER DR Subdivision: Lot: 0 Project: Conklin Project Description: Gas furnace replacement. Owner: FEES CONKLIN, RICHARD & JANICE Description Date Amount LIVING TRUST, BY RICHARD P /JANICE C Furnaces < 100K BTU 10/08/2010 $46.75 CONKLIN TR, 3145 NW 100TH AVE 12% State Surcharge - Mechanical 10/08/2010 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 10/08/2010 $43.25 Contractor: AAA HEATING & COOLING 5017 NE GRAND AVENUE PORTLAND, OR 97211 PHONE: 503 - 284 -2173 FAX: 503 -284 -1552 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressue: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639. 175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. From: 10/07/2010 08:08 11740 P.001/002 Mechanical Permit Aaalication vol< O I i c t US I:. ONLY t City of Tigard H !� F ° I, � ;' / • t� Perm4 No — k 1 OR 97223 `L \ P.n :. ... Phoe: 503.639.4171 Fax: 503.596.1960 Date/By Og Pte 1 a .i I; r) Inspection Line: 503.639.4175 i l Date �Sd etj See Page 2 for to Internet: www.tigetd oGgov OCT . J Notified/Methad: Supplemental Information • T!!PS Nevi i, " performed value rounded to the nearest dollar) " of all ❑ Ne construction Addition/alterati 1 `tt ' : • Mechanical permit fees' are based on the value of the work 1:1 Demolition El Other Indicate the veal mechanical materials, equipment, labor, overhead, and profit. CATBGbRY OP (1ONSThUCrTON - .x value: $ �.1 -and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building "w '" /-8YB7 � __ r 13 Multi-family ❑ Master builder ❑ Other For specie! (nfornlodo 1 use checklist. EL l Total OB °` .. J S!1' &:i111FOR14TlfON:4 ;« Ileafingicacliall Job site address: t O6EO S 2 1•k/ UT. vdU V 2. Air conditioning (requires site plan showing/ placement) 46.75 City/State/ZIP:" `c44 , p tk--/ — 1, — i... 4 Furnace 100,000 BTU (ducrervema) t 46.75 z{{ -`� 5 Suite/bldgJapt. no.: Project name: Qo \\ ■yy Emanate 100,000+ BTU (ducts/vents) 54.91 Heat Pomp 61.06 Cross street/directions to job site: oi (1 cgv.: a l, Q Ductwork 23.32_ 4 CAVIL S ‘I- \OP - (Vie,. R. „ 2 W -11.3 A k ■ t t � l boiler ( r adiator or 23.32 se.] c ∎Niciz,ft. ' IS 11 11-. hydronic) 23.32 Unit heaters (tire] -type, not electric), in -wall, inlet, suspended, etc. 46.75 Subdivision: [Lot no.: Flue/vent for any of above 23.32 Other 2332 Tax map /parcel no.: Other fad appliances . afFE .'; ` ?S.^ ` a sirs - ..:.. - "_'' •M l e i Fi e :TR �• " _: Wa n'T :_��3= +r,_._..:�':3- �.,Q, ' "iDll� >?WORH• .,•, "� �•,= ?• te rhe�atar 2332 Gas firePlaec x - .a%:.;e��::_ �•� &..ti . -n . rr; - �;�::. '':;�Is..z.,3i::�iry! R S� ipu.'lt eel C,q� A.. 2, c. C. 0- Flue veal for water heater or gas 33 39 `tom JAXML U fireplace 23.32 Lo Lighter (gas) 23.32 Wood/pellet wove 33.39 /Wg000dd fir�e�pllace/insertt 23.32 P' - ''� /.J3f C }.� - " 5 .�.• �. y ,._:.- ..•_+.�•.N,�._e�,. : >I'. '.J.T.':" IAlY1F /11l1��e /YGYI '' tY( � �?ti'{,,',"- `,.`r5 ,N. �n RR, ® de`s x';< 23.32 2332 Name: 2t CA Ail atL 4 Zs , eO Nke—k Environmental exhaust and ventilation Address: 3k 1 6 . S w t 604A Aa..V►. . . Range hood/other kitchen equipment 33.39 City/State/ZIP: p c ak ,p„„,,t, © p , . 2,..7. 5. Clothes dryer exhaust _ 33.39 'Z .2. 4 Single duct exhaust (bathrooms, Phone: 3) Ct 43 7S Fax: ( ) toilet compartments, utility rooms) 23.32 �p '�r?gj'4,�"r�^,y�y" � ., ���.} �y��;�' -; �r . T._'•.^, r.,., ......- n...:.::..:..a:...,.y.,� ' . d`,: r:.:. id? lfiv.,: �rtxw® c:... �r��' G." ....:�,���''s7ki'Y� %,'.'.�x'� ''' ®',CVi, i d( �� n 2332 _. „> �.�?;� Attic raw fans 23 Business name: AAA HEATING & COOLING INC. Other 23.32 _Fuel pipintr Contact name: $14.15 for Bret four, 54.03 for each additional • Address: Fuomee, etc. pump City/State/ZIP: Gas t Wall/suspendedhmit heater • Phone: ( ) I Fax: : ( ) Water beater ' E -mail: Fireplace Range • Business name: AAA HEATING & COOLING INC. Clothes dryer (gas) Other Address: 5017 NE GRAND AVE . ,•' -... , ... ,, . , ..: •:a ":,, >,::.._. -....: __._.. _CAL. ,, F `•_?::: <• 7':i t cit PORTLAND OR 97211 Subtotal Phone: (503) 284 -2173 J Fax: (503) 284 -1552 Minimum permit fee ($90.00) q G` , CCB lit.: 000222 Plan review (25a/, of permit fee) 1 State surcharge (12 %ofpermitfee) tJp,$p _ TOTAL PERMIT FEE (Op. Set, Authorized signature: This permit apphcatlan expires H s permit Is not obtained within 180 I Print name: VICTORIA ALLEN 1 I dg after It has been Building complete. Date: V v v • Fee methodology y set by Tri- County Buihfing m Industry Service Board 1:\BuildingTecmi \MEC- PetminApp.doc 10101/09 446461 (1I /01 B) . 7 - 0PN / 5 0 -c.--zz-